Organization · NPI-2

Guided Pathway

Substance Abuse Rehabilitation Facility · Minneapolis, MN

NPI number1366913287
StatusActive
Last updated in NPPESDec 20, 2018

Details

NPI
1366913287
Entity type
Organization (NPI-2)
Legal business name
Guided Pathway
Organization subpart
No
Enumeration date
Dec 17, 2018
Last updated
Dec 20, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility––Yes

Practice location

2119 Elliot Ave
Minneapolis, MN 55404-2971

Phone 612-568-6860

Mailing address

2930 Blaisdell Ave Apt 226
Minneapolis, MN 55408-2325

Phone 612-644-6800

Authorized official

Liiban Ahmed Hassan
Director Of Opporations
6126446800

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